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Individual
LOUISE GOLDBERG
Active
Individual
LOUISE GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT05736
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT05736
TX
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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